Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Loudoun Medical Group, PC

Organization Orthopaedic Surgery Physician · NPI 1104584747

Loudoun Medical Group, PC is an Orthopaedic Surgery Physician in Leesburg, Virginia. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19450 Deerfield Ave Ste 200
Leesburg, VA 20176-6821
Phone: (703) 777-3262
Fax: (703) 777-3365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X

Record details

NPI number1104584747
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLoudoun Medical Group, PC
Authorized official Mary Beth Tamasy — Ceo · (703) 737-6010
Other names Matthew B. Gavin, Md; Matthew B. Gavin, Md
NPI enumeratedDecember 1, 2021
Last updated in NPPESApril 24, 2023
Certification dateApril 24, 2023
Mailing address224-D Cornwall St., Nw, Suite 403, Leesburg, VA 20176-2704

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